Şenormancı Ömer, Yılmaz Adviye Esin, Saraçlı Özge, Atasoy Nuray, Şenormancı Güliz, Atik Levent
Bülent Ecevit University School of Medicine, Psychiatry, Zonguldak, Turkey.
Dokuz Eylul University, Faculty of Letters Department of Psychology, İzmir, Turkey.
Compr Psychiatry. 2014 Oct;55(7):1556-60. doi: 10.1016/j.comppsych.2014.05.017. Epub 2014 Jun 2.
The main aim of the present study was to examine whether ruminative thinking styles (brooding and reflection) mediate the effects of dysfunctional attitudes on depressive symptoms.
120 psychotropic drug-naive first episode depression patients recruited from Bulent Ecevit University School of Medicine psychiatry department and Zonguldak State Hospital psychiatry department outpatient clinics were involved in the study. Participants completed the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Beck Depression Inventory (BDI), Dysfunctional Attitude Scale (DAS) and Ruminative Responses Scale (RRS-short version). Regression analyses together with the Sobel tests were performed for testing the mediator hypothesis.
According to the path model, the level of brooding fully mediated the relationship between dysfunctional attitudes and depressive symptomatology but reflection did not play a mediator role in the relationship between dysfunctional attitudes and depressive symptoms.
Assessment of brooding with both mental status examination and specific measurements and focusing on brooding as an intervention strategy would be beneficial components for an effective treatment of depression.
本研究的主要目的是检验反刍思维方式（沉思和反思）是否介导功能失调性态度对抑郁症状的影响。
从比伦特·埃杰维特大学医学院精神科和宗古尔达克州立医院精神科门诊招募了120名未服用过精神药物的首发抑郁症患者参与研究。参与者完成了《精神疾病诊断与统计手册》第四版轴I障碍的结构化临床访谈（SCID-I）、贝克抑郁量表（BDI）、功能失调性态度量表（DAS）和反刍反应量表（简版RRS）。进行回归分析并结合索贝尔检验来检验中介假设。
根据路径模型，沉思水平完全介导了功能失调性态度与抑郁症状之间的关系，但反思在功能失调性态度与抑郁症状之间的关系中未起到中介作用。
通过精神状态检查和特定测量来评估沉思，并将沉思作为一种干预策略，将是有效治疗抑郁症的有益组成部分。
